Emergency response plan for hospital emergencies
The first section of the general principles
First, in accordance with the "Emergency Regulations on Public **** Health Emergencies", "the Chinese People's **** and the State of the Prevention and Control of Infectious Diseases Act", "the Chinese People's *** and the State of the Prevention and Control of Infectious Diseases Implementation Measures", as well as the spirit of the relevant documents in Hebei Province, the Ordinance, the spirit of the formulation of this The plan.
Second, the emergencies are:
1, sudden public **** health incident that is: a sudden, causing or likely to cause serious damage to the public health of the community of major infectious disease outbreaks, mass unexplained diseases, major food and occupational poisoning, and other serious impact on the public health of the incident.
2, sudden catastrophic events and social security incidents including earthquakes, floods, major traffic accidents, flight accidents, major social security incidents.
3, when the above listed emergencies, the Medical Department, the General Duty must be the first time to arrive at the scene, screening, by the medical vice president in charge as well as the Medical Department according to the nature of the incident, the number of people involved, the need to call for medical treatment and protective equipment, drugs, medical equipment and other supplies to the commander-in-chief to start the plan of the proposal, the commander-in-chief announced that the start of the plan.
Fourth, the section, the department should refer to this plan to develop the corresponding measures of the section, the department, and have training, check the implementation of the records.
Fifth, the disposal of emergencies in the process, adhere to the case writing and management system; adhere to the three-stage check-up system: adhere to the consultation system to ensure medical safety of the effective rules and regulations.
The second section of the personnel to prepare
First, the clinical department director, head nurse, emergency department staff around the clock to prepare personnel, the establishment of an effective communication network, ready to deal with emergencies.
Second, the night shift staff of each section at any time quasi each listen to the hospital general duty dispatch.
Third, the hospital according to the clinical characteristics of emergencies at any time to form a special task force with obvious professional characteristics, arranged for professionals to undertake the work of the attending physician, to guide the clinical work.
Fourth, the Office of Science and Education is responsible for organizing and coordinating the training of personnel in the hospital's clinical and medical departments for emergency measures.
Fifth, the director of the hospital departments, is responsible for the "Emergency Plan" instilled in the department of each employee (including temporary workers), and regular drills.
Sixth, the command center and the Medical Department received the need to send a medical team task, early in the day by the director of the department according to the requirements of the rapid personnel arrangements, reported to the Medical Department team; the night by the hospital general duty according to the professional needs of the doctor on duty from the selection, and notify the director of the department to supplement the personnel.
VII. The General Affairs Department is fully responsible for the life support of the medical team, and the Medical Department is fully responsible for the operational support of the medical team.
Section III Reporting System
I. Any department or individual must immediately and factually report the emergency to the medical department or the hospital's general duty, and must not conceal, delay, or falsely report the contents of the report, including:
1, the number of sick and injured people.
2, sick and injured.
3, participate in the rescue department.
Second, the medical department or hospital general duty according to the duty to quickly report to the competent dean.
1, the nature of the emergency.
2, the number of sick and injured people and the condition of the sick and injured.
3, participate in the rescue department.
4, the need to call the personnel, drugs and equipment.
Third, the dean in charge personally or entrusted to the medical department in accordance with the procedures to the higher administrative departments of health care.
Fourth, the Medical Department regularly informs the whole hospital of the epidemic.
Fifth, the hospital assigned the Medical Department is responsible for emergencies or epidemics, reported to the Security Section is responsible for the public security departments to provide the required information; any department or individual without approval shall not be disseminated to the outside world of information about emergencies.
Sixth, in the event of one of the following circumstances, the need to immediately report to the Medical Department or the hospital general duty:
1, the occurrence or possible outbreak of infectious diseases, epidemic.
2, the discovery of Category A infectious diseases (cholera, plague) and Category B infectious diseases in the SARS, AIDS, anthrax 'patients, carriers and suspected patients.
3, the occurrence or possible occurrence of major food poisoning and occupational poisoning.
4, the occurrence or possible discovery of unexplained mass disease (the number of occurrences).
5, the occurrence of highly toxic substances, radioactive sources of goods lost.
6, the reception of major accidents, celebrities, foreigners and foreigners, health care recipients, special circumstances of large-scale activities, flight accidents, major social security incidents group patients.
Section IV Emergency Response Plan for Public **** Health Emergencies
I. Main Responsible Departments:
Medical Services, Nursing, Outpatient, Emergency, Clinical Departments, Radiology, Laboratory.
Second, the responsible departments regularly organize all staff to carry out related knowledge, skills training and exercises; and reserve a certain number of required protective equipment.
Third, the early warning mechanism of infectious diseases
1, the whole hospital and various departments, in order to implement the "early detection, early isolation. Early treatment" work requirements, it is necessary to establish the appropriate early warning mechanism
2, early warning classification
① three warning: outbreaks in the field, no new cases or suspected cases in the city in order to ensure that the normal medical order under the premise of the medical section in a timely manner to organize personnel for business training, procurement center and the General Affairs Department to provide the necessary material reserves.
② second warning: the city outbreak, the hospital received a suspected or confirmed cases, not open the isolation area, ready to start the full emergency plan, strengthen the disinfection and isolation system supervision and guidance and the implementation of personal protective measures for medical staff to ensure the normal conduct of medical work.
③ First-class warning: the full start of this plan, open the isolation area, integration of medical resources, stop visiting.
Fourth, after the emergency plan for emergencies started, the responsible departments must always hold their positions and prepare the backup echelon personnel, subject to the unified arrangements of the hospital emergency response command.
Fifth, emphasize the synergy of the sections, local interests must be subordinate to the overall interests.
Sixth, the strict implementation of the diagnosis and treatment routine. Ensure the scientific and integrity of medical records.
vii. Setting up a cordon, all personnel participating in the rescue are obliged to prevent unrelated personnel from entering the rescue area, and to prevent patients and suspicious persons from leaving.
viii. SARS and enteric infectious diseases of the emergency plan is attached.
IX, the treatment department to retain the patient's vomit, excreta and blood specimens.
x. Without approval, the patient excreta shall not be disposed of at will.
XI, in the city, district CDC personnel before the arrival of the medical department is responsible for epidemiological investigations, delineation of objects, the implementation of monitoring measures.
XII, the departments shall not refuse to admit patients who need to be hospitalized under any pretext.
xiii. Without approval, no department shall transfer out patients privately.
Section V. Emergency plan for sudden catastrophic events and social security incidents
First, the main responsible departments
Medical Department, Nursing Department, outpatient clinics, emergency, clinical departments, radiology, laboratory, pharmacy, general affairs
Second, the responsible departments to organize regular training and drills for all staff related knowledge and skills; and reserve a certain number of required The company's products and services are also available on the market.
Third, after the emergency plan start, the responsible departments must always hold their posts, and prepare the backup echelon personnel to obey the hospital emergency response headquarters unified arrangements.
Fourth, emphasize the synergy of all sections, local interests must be subordinate to the overall interests.
Fifth, the strict implementation of the diagnosis and treatment routine, to ensure the integrity of the medical record data and seriousness.
VI. Set up a cordon, all participants in the treatment of personnel are obliged to organize unrelated personnel into the treatment area, and to prevent patients and suspicious people from leaving.
VII, in accordance with the unified requirements, the attending department is responsible for the patient's left chest were hung on the appropriate color band (black for death; light, medium and serious injuries for red, yellow and blue ribbons).
Eight, for patients who need surgery to cure the order, as far as possible to arrange in the large operating room, and open the outpatient department operating room as needed.
IX, and the city blood center to maintain close contact to ensure blood supply. Actively use autologous blood transfusion technology to reduce blood demand.
X. Departments shall not refuse to admit patients in need of hospitalization on any pretext.
xi. No department shall transfer out patients without authorization.
Section VI Guarantee
I. Human Resource Guarantee
1. Statistics and classification management of dispatched personnel.
2, deployment of human resources in the hospital.
3, to honor the rewards and punishments.
Second, information security
1, the archives are responsible for collecting the latest situation of the relevant diseases, to understand the latest diagnostic standards, diagnostic methods.
2, the computer center to maintain the information system, to achieve accurate information, normal operation.
3, the archive room at any time according to the relevant requirements of the higher authorities, fill out the form, to report.
Third, equipment security
1, the General Affairs Section to ensure that the key departmental equipment is intact, readily available.
2, with the rescue process in a timely manner to provide the required equipment.
3, at any time to rescue equipment on-site maintenance.
Fourth, logistical support
1, the General Affairs Section to protect the rescue of strategic materials and the necessary supply of daily necessities.
2, to ensure the supply of electricity, heat, ventilation, water.
3, to ensure smooth communication, and has the ability to increase communication at any time.
4, to ensure that the integrity of the transportation vehicle, without the approval of the relevant departments, shall not be arbitrarily called emergency vehicles.
5, to ensure the construction of temporary facilities.
6, the General Affairs Department to ensure that the rescue personnel involved in the meal supply.
7, the General Affairs Department to ensure that medical staff clinical use of clothing in a timely manner washing and updating.
V. Security
1, in case of public **** health emergencies need to be designated isolation area, the Security Section to provide timely personnel and set up a special security, to prevent unrelated people into the isolation area, the patient and the suspected personnel without approval shall not leave the treatment area.
2, in the event of an emergency disaster and social security incidents, the defense department must be timely power, heat and communication departments to take protective measures.
3, keep in touch with the public security department, the implementation of the monitoring of the suspect.
Sixth, life security
1, the hospital office, the party office is responsible for the ideological and political work of the medical staff, do a good job of explaining and pacifying the families of medical staff, and help solve practical difficulties. General Affairs Department to ensure that the medical staff to participate in the rescue of food and accommodation and physical health.
2, the General Affairs Department to ensure that the medical staff to participate in the rescue room and board and physical health.
Section VII of the emergency medical aid implementation rules and procedures
I. Emergency medical aid implementation rules
Emergencies are:
1, chemical poisoning;
2, bulk digestive poisoning (food);
3, bulk respiratory infectious diseases;
4, bulk Digestive system infectious diseases.
5, bulk trauma (car accidents, public **** place crush injuries, explosions, etc.;
Critical incident location:
1, the city's own district;
2, the city's outer districts;
3, out of the city;
4, the hospital.
Critical incident rescue classification:
1, pre-hospital rescue;
2, in-hospital rescue.
Communication system means of emergencies:
1, telephone 2, cell phone 3, network 4, artificial.
Means of transportation in emergencies:
1, ambulance (120);
2, the hospital's vehicles;
3, cab;
4, social vehicles.
The information transmission system of the sudden accident:
1, general duty;
2, medical department;
3, emergency department;
4, the competent vice-president;
5, the president;
6, all levels of the health bureau / CDc;
7, other hospitals:
8, the government relevant departments;
Chain of command for emergencies:
1, dean;
2, vice president in charge;
3, medical department, nursing department;
4, chiefs of departments;
5, physicians at all levels;
6, medical, nursing, and administrative functions;
7, higher level commands .
Material preparation for emergencies:
1, medicines;
2, material instruments (tracheal intubation, tracheotomy kits, stretcher, various types of splints, neck brace, bandages, flashlights, candles improvised respiratory device.
3, ambulance;
4, cotton tops, masks, hats, gloves, walkie-talkies;
5, food, water.
The above items are placed in a designated location and must be clear to the people concerned.
Outgoing medical team for emergencies:
1. Leader: President / Vice President / Medical Department / Section Chief.
2, personnel according to the emergency to send professionals and set the number of general doctors 5, 3 nurses.
3, personnel according to the needs of the higher level and determine which level of professionals to undertake.
4, according to the different specialties to determine the list of personnel sent.
5, the hospital received a notice should not exceed 30 minutes, personnel, supplies, medicines, ambulances must arrive at the designated part of the collection *** with the departure.
6, at any time to contact the hospital command to inform the situation.
7, obey the site command and higher command arrangements.
8, do their own necessary safety, protection, to avoid casualties in the medical team;
Emergencies of the outgoing medical team:
1, chemical poisoning:
① Leader: President / Vice President / Medical Department / Section Chief.
② Captain: 1 (temporarily determined).
③ team members: 2 nurses, internal medicine system of physicians l 1 2, surgical system of physicians l 1 2.
2, digestive system (food) poisoning, digestive system infectious diseases:
① Leader: President / Vice President / Medical Department / Director.
② captain: 1 (l temporary determination).
③ team members: 2 nurses, 1 physician in the medical system, 1 physician in the surgical system.
3, respiratory infectious diseases:
① Leader: President / Vice President / Medical Department / Director.
② captain: l person (temporarily determined).
③ team members: 2 nurses, 1 physician in the medical system, 1 physician in the surgical system.
Hospital emergency response plan (three)